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EDELINE ETIENNE NP
NPI 1932935202
Family Medicine - Adult Medicine in Lake Worth, FL

Active since September 12, 2024PECOS Enrolled
7046 PENINSULA LAKE CT, LAKE WORTH, FL 33467(561) 523-6963 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Sep 12, 2024 (2 updates tracked since 2024).

About Edeline Etienne Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDELINE ETIENNE NP (NPI 1932935202) is an individual adult medicine provider in Lake Worth, Florida, licensed in New York (354778) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932935202
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameEDELINE ETIENNECredential: NP
Location Address7046 PENINSULA LAKE CTLake Worth, FL 33467-7966
Mailing Address414 Maple AveWestbury, NY 11590-3257 · (561) 523-6963
Phone(561) 523-6963
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 12, 2024
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1932935202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 354778
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11035664 (FL)
7046 PENINSULA LAKE CT, Lake Worth, FL 33467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edeline Etienne Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668932948
PECOS Enrollment IDI20260905000054
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edeline Etienne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Accountable Care Hospitalist Group
6.9 mi
Internal Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 265 clinicians in this Medicare group
NPI 1659640282 (561) 766-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edeline Etienne's NPI number?

The NPI number for Edeline Etienne is 1932935202. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Edeline Etienne located?

Edeline Etienne practices at 7046 Peninsula Lake Ct, Lake Worth, FL 33467. The listed phone number is (561) 523-6963.

What is Edeline Etienne's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Edeline Etienne enrolled in Medicare?

Yes. Edeline Etienne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edeline Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edeline Etienne reassigns Medicare benefits to Accountable Care Hospitalist Group (Wellington, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edeline Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edeline Etienne was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.